Beemnet Hailu Asega Valid NPI

Individual provider · Community/Retail Pharmacy · Stone Mountain, GA

NPI

1326755901

Type

Individual (Type 1)

Primary specialty

Community/Retail Pharmacy (Pharmacy)

Specialty group

Suppliers

Taxonomy code

3336C0003X

License number

PS59345 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-11-02

Last updated

2022-11-02